MATERNAL AGE AND PREGNANCY OUTCOMES
Background: pregnancy and childbirth at extreme maternal age is associated with an increased risk of adverse maternal fetal and newborn outcomes. The aim: the aim of this study was to assess the relationship between maternal age and pregnancy outcomes. Methods: this study adopts a descriptive comparative hospital-based study design. It was conducted at three selected hospitals. A cluster number of 585 women were selected randomly to participate in this study. The participant pregnant women were divided according to their age into three groups. The relevant data were collected using three tools, namely: a structured interview questionnaire, maternal-obstetrical complications and newborn health assessment scales. The data were analyzed using descriptive and inferential statistical tests. Results: In the current study, (OR = 4.16) and (OR = 0.284) were reported as complications of pregnancy (hypertension and diabetes), in group one in comparison with the reference group respectively. In group three, pregnancy complications such as intrauterine retardation, hypertension, diabetes and abortion in comparison with the reference group (OR =, 2.79, 4.02 & 2.16) respectively. Concerning association, there was no relationship between group one, intrauterine retardation and abortion. On the other hand, there was highly statistically significant association between group one, hypertension and diabetes (P-value =0.000). In group three there was highly statistically significant correlation between this group and all complications of pregnancy (P-value = 0.000). Regarding newborns’ health, there was statistical correlation between hypoxia and group one and three as compared to the reference group (OR= 0.0416 & 1.3100) consecutively, and there was statistically significant association between group one, three in comparison with the reference group (P-value= 0.000). Conclusion: the study concluded that maternal age is one of the independent risk factors for adverse pregnancy outcome.
Maternal Age, Pregnancy Complications, Pregnancy Outcome